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Provider Rates & Fee Schedule

Health First Colorado Fee Schedule

Although every effort is made to ensure the accuracy of this information, discrepancies may occur. The fee schedule may not reflect any changes to rates that occurred after the effective date of the fee schedule. Such changes will be reflected in the next release of the fee schedule.

Supports Intensity Scale (SIS) and Support Level Flow Chart - Support Levels are a numeric value determined using an algorithm that includes factors based on assessments of the client’s needs as measured by the adaptive, medical and behavioral components of the SIS Assessment plus factors for defined safety risk.

HRSI/DDD Support Level Algorithm -The factors applied in the Support Level Algorithm are: Adaptive Skills, Behavioral and Medical support needs scores from the SIS Assessment and extreme safety risk to self or public safety risk.

In 2017 the Department calculated all LTSS HCBS fee-for-service waiver rates utilizing the HCBS rate methodology. The rate methodology and rate setting were required to receive approval of the across the board and targeted rate increases approved by the legislature for FY2017-18. The Department introduced the methodology to stakeholders in May 2017 and solicited feedback on the rate methodology. After the calculation of the rates, stakeholders were provided with the salary and capital inputs used to develop each service rate. The Department solicited feedback on these inputs prior to finalizing the rates. Resources related to the HCBS rate methodology, inputs by service, and the final rates can be found below: